2024
DOI: 10.1001/jama.2023.25945
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A Patient With Oral Discomfort and Reduced Oral Aperture

Gloria F. Chen,
Simon F. Roy,
Jeffrey M. Cohen

Abstract: A patient had burning and pain in the mouth, reduced oral aperture, white-tan plaques on the oral mucosa, and thickened buccal mucosae bilaterally; biopsy of the lower labial mucosa showed subepithelial fibrosis. She had no history of cigarette smoking or use of chewing tobacco but had current and past history of chewing areca nuts. What is the diagnosis and what would you do next?

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